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Cited by 110Psychosomatic Disorders and Their TreatmentsGastrointestinal motility and disordersFibromyalgia and Chronic Fatigue Syndrome Research

The DOI matches its Crossref record; 29 of the 29 references it cites were found in a registry or an index.

The Behavioural Responses to Illness Questionnaire (BRIQ): a new predictive measure of medically unexplained symptoms following acute infection

SPENCE, MEAGAN, MOSS-MORRIS, RONA, CHALDER, TRUDIE·2005·Psychological Medicine
DOI 10.1017/s0033291704003484
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Abstract

Background. The aim of this study was to design a self-report measure of behavioural responses during the acute phase of an illness, in order to assess the importance of these behaviours in the development of ongoing medically unexplained syndromes. Method. An initial pool of items derived from theoretical models and clinical observation, was piloted on a group of 312 university students to assess the factor structure of the scale and the best fit items. The scale was further validated in a second study of 758 patients who were experiencing Campylobacter gastroenteritis. At 3 months post-infection, patients were sent a second questionnaire assessing symptoms of irritable bowel syndrome (IBS). Results. Principal components analysis of the items in the student sample yielded a four-factor solution, labelled all-or-nothing behaviour, limiting behaviour, emotional support seeking and practical support seeking. The factor structure was confirmed in the Campylobacter sample, and internal reliability was good. All-or-nothing behaviour was associated with IBS at 3 months post-infection. In contrast, limiting behaviour and practical support seeking at the time of infection appeared to be protective. Conclusion. The results suggest that this is a valid and reliable measure that can predict the development of a medically unexplained syndrome after acute infection. Overdoing things at the time of infection and then needing to rest for prolonged periods (all-or-nothing behaviour), appears to be a particular risk factor for the development of IBS. Targeted interventions at the time of infection may improve coping and prevent symptoms from becoming chronic.

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Metadata

Authors
SPENCE, M., MOSS-MORRIS, R., & CHALDER, T.
Affiliations
  • University of Auckland (NZ)
  • King's College London (GB)
ORCID
Venue
Psychological Medicine
Publisher
Cambridge University Press (CUP)
Published
2004-10-07
Volume
35
Issue
4
Pages
583-593
ISSN
  • 0033-2917 (ISSN-L)
  • 1469-8978
DOI
10.1017/s0033291704003484
OpenAlex
W1987724846
Cited by
110
References
29
Citations by year
2026: 3 · 2025: 8 · 2024: 8 · 2023: 8 · 2022: 10 · 2021: 5 · 2020: 10 · 2019: 10 · 2018: 5 · 2017: 3 · 2016: 4 · 2015: 7 · 2014: 4 · 2013: 4 · 2012: 6
FWCI
1.44
Type
journal article
Language
en
Open access
closed
Licence
www.cambridge.org/core/terms (unspecified)
Locations
  • Psychological Medicine (publishedVersion)
  • PubMed (publishedVersion)
  • ePrints Soton (University of Southampton) (submittedVersion)
  • Research Portal (King's College London) (submittedVersion)
  • ResearchSpace (University of Auckland) (submittedVersion)
Topics
  • Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
  • Health Sciences › Medicine › Gastroenterology › Gastrointestinal motility and disorders
  • Health Sciences › Medicine › Psychiatry and Mental health › Fibromyalgia and Chronic Fatigue Syndrome Research
Keywords
medically unexplained symptoms, irritable bowel syndrome, acute infection, Campylobacter gastroenteritis, asymptotic behavior, emotional support seeking, coping with illness, chronicity, scale development, factor structure
MeSH terms
Acute Disease, Adolescent, Adult, Campylobacter Infections, Convalescence, Female, Follow-Up Studies, Foodborne Diseases, Gastroenteritis, Humans, Influenza, Human, Male, Middle Aged, Personality Inventory, Pilot Projects, Psychometrics, Reference Values, Sick Role, Social Support, Somatoform Disorders, Statistics as Topic, Students, Syndrome, Reproducibility of Results, Irritable Bowel Syndrome

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